Permit (9) .111 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00554
T I( A I D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2023
Parcel: 2S106DD12900
Jurisdiction: Tigard
Site address: 16681 SW JEAN LOUISE RD
Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project: River Terrace Town Center, Lot 128
Project Description: New attached dwelling(3 of 4)units. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES
HAVE BEEN PAID.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 64 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 34 Bathrooms: 2 Second: 558 sf Garage: 497 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 568 sf Right: 3 Detectors:
Total: 1190 sf Value: $234,537.66 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1190
Owner: Contractor:
AG EHC II(NWHM)MULTI STATE 2 LLC TNHC OREGON LLC Required Items and Reports(Conditions)
BY THE NEW HOME COMPANY INC 15231 LAGUNA CANYON ROAD 1 Ersn Cntrl 503-639-4175
BY KAWANAMI,MARK SUITE 250 2 Fire Rated Conditions
15231 LAGUNA CANYON RD STE IRVINE,CA 92618 3 Fire Sprinklers Required
250
PHONE: PHONE: 503-312-6213
FAX:
Total Fees: $14,948.06
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTIO • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc7_nn1_nnin thrrn, AP a _nn1_nna av nhtain a rnrni of the nilee nr Hirert n,,ectinne to(ll INr:hu Tallinn rnQ 717 10R7nr 1 AnA 119 734A
Issued By: �'�'"g"' Permittee Signature: SQ,�. � 1�CQkL\°V\
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit ApplicatioiR E C E I VE D
Residential OCT 8 2U23 I.OR014ic'l: ( S►':O\►.\
City of Tigard Received LI
DateDate/By: Permit No.:MS C 3- c 7
13125 SW Hall Blvd.,Tigard,OR 972236 1rrY OF TIGARD y.�
1 Plan Review ^��
Phone: 503.718.2439 Fax: 503.598.1 Date/By: i( l4 'f/73 fl ` OtherPermit:V •00s,Q3
t t c,A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBv' 7 s. See Page 4 for
Internet: www.tigard-or.gov Notified/Method:►ti111 bo .rr a Supplemental Information
Ce d ,k r.,-i Tr
C�
TYPE OF'WOIR.K; ' ;LI ED DATA 1 Ar0.2- FAY EL+IE NG ,
2 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF,CONSTRUCTION work indicated on this application. 'Al❑1-and 2-familydwellingValuation: $ 00 �2U f 53`-1 1
ID J-1 J ff
ElAccessory building 0Multi-family Number of bedrooms: 2
❑Master builder 0 Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 th1
Job site address:16681 SW Jean Louise rd New dwelling area: 1 190 square feet 5(6
City/State/ZIP:Sherwood/OR/97140 Garage/carport area: 497 square feet 55$
Suite/bldg./apt.no.: Project name:River Terrace Town Center Covered porch area: square feet Log
Cross street/directions to job site: Deck area: 70 square feet
SW River Terr-acP blvd Other structure area: square feet
REQUIRED'DA,TA:COMME CIA -US CHECKLIST
Subdivision:River Terrace I Lot no.:128 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:parcel no:2S1060003300 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
OtSCRIPTION OF SIC work indicated on this application.
RPq►u ling Deferred SDr fees Valuation: $
Existing building area: square feet
New building area: square feet
II PROPERTY OWNER Q TENANT Number of stories:
Name:TNHC OREGON LLC Type of construction:
Address:15231 Laguna Canyon RD STE 250 Occupancy groups:
City/State/ZIP:I ry i n e/CA/92618 Existing:
Phone:(503)310-7571 Fax:( )
New:
® APPLICANT a CONTACT PERSON -
BI1xlrnlrle PERMIT kE *
Business name:TNHC OREGON LLC
Structural plan review fee(or deposit):
Contact name:Frank Sandoval
Address:15455 NW Greenbrier Parkway Suite 240 FLS plan review fee(if applicable):
City/State/ZIP:Beaverton/OR/97006 Total fees due upon application:
Phone:(503) 310-7571 Fax::( ) Amount received:
E-mail:fsandoval@nwhm.com PHOTOVOLTAICSO P' L,SYSEMPE S*
'CONTRACTOR , Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:TNHC OREGON LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15231 Laguna Canyon RD STE 250 Solar Installation Specialty Code checklist.
City/State/ZIP:Irvine/CA/92618 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(5O3)310-7571 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:241108
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Frank Sandoval - Date: w/le/Zo2? *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
Mechanical Permit Applicati. F OR OI FI( i.. 1 sI.OyI,v
1,
City of Tigard Y Date/By:F Received
Permit No.:M t 1 .1 A
• 13125 SW Hall Blvd.,Tigard,OR 97223 v
11111
Plan Review
Phone: 503.718.2439 Fax: 503.598.1 `+ 1 2023 Other Permit:
8 DateBy:
T 1 ,A R I) Inspection Line: 503.639.4175Date Ready/By: Juris: gi See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE,c G DIVISION .
co
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CO1 4 RUCTtoN RE ', J;� zNrI ysTErii
®1-and 2-family dwelling ❑Commercial/industrial El Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE #roxonm•I,oi4 AM L AT N Heating/cooling:
Air conditioning 1 46.75
Job site address:16681 SW Jean Louise rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Sherwood OR 97140 Furnace 100,000+BTU(ducts/vents) 1 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:River Terrace Town Center Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
SW River Terrace blvd hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision:River Terrace Town Center Lot no.: 128
Other fuel appliances:
Tax map/parcel no.:2S 1060003300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert / 33.39
Flue vent for water heater or gas
NEW HOME CONSTRUCTION fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Via ROPEItTY OER � Environmental exhaust and ventilation:
Name:TNHC OREGON LLC Range hood/other kitchen
equipment 1 33.39
Address:15231 Laguna Canyon Rd STE 250 Clothes dryer exhaust 33.39
City/State/ZIP:Irvine CA 92618 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) _ 23.32
Phone:(503 8 10-7571 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT C3 CONTACT PER UN Other: 23.32
Business name:TNHC OREGON LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Frank Sandoval Furnace,etc.
Address:15455 NW Greenbrier Parkway#240 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton OR 97006 Water heater
Phone:(503)310-7571 Fax::( ) Fireplace
Range
E-mail:fandoval@nwhm.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pro Heating and Cooling, INC Other:
XU A ICAEPERM1TIrE *"
Address:4200 NW Leisy rd Subtotal
City/State/ZIP:Hillsboro, OR 97124 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971)205 4989 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: Z:711-ta, _- * Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:3/17/2023
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Electrical Permit Applicat FOR 01 F1('E.1 SI ON1.1
11111 of Tigard
Received y�
i`33125rSW Hail Blvd.,Tigard,OR 97z.tz
Phone: 503.7182439 Fax: 503.598 960 I 1 2023 Daffy' Permit#: N1S11,I Y OO S�A
Plan Review
Date/By: Related Permit#:
Inspection Line: 503.639.4175 �r I� ` ' Read Date/By: Luria:
Ile'� "� Internet: www.tigard-or. ov ����� 195:� � y I fI!SeePage2for
g BUILDING
C Ii DING DIVISION NotiSed/Method: Supplemental information
TYPE OFDLWliOLRKUIivta DIVISION PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition Other: El Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
►.1 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations, buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump.P 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived
16681 SW Jean Louise rd D Addition of new motor load of system
Job#: Job site address: 100HP or more. O syst
City/StaterZIP: Sherwood/OR/97140 D Six or more residential units. occupancy.
D Health-care facilities. ❑Recreational vehicle parks,
Suite/bidgJapt.#: Project name: RTTC D Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
SW Jean Louise rd Description I Qty.I Each I Total i
New residential single-or multi-family dwelling unit
Subdivision: River Terrace Town Center Lot#:128 Includes attached garage.
2S1060003300 1,000 sq.$.or less 168.54 4
Tax map/parcel 4:
Ea add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
NEW HOME CONSTRUCTION (with above sq.ft)
Limited energy,multi-family 75.00 2
residential(with above sq.ft)
PROPERTY OWNER ❑ TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name: THNC OREGON LLC 200 amps or less 100.70 2
Address: 15231 Laguna Canyon Rd STE 250 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Irvine CA 92618 601 amps 10 1,000 amps 301.04 2
Phone:(503)310-7571 Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Fsandoval@newhomeco.com
Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
50
APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: THNC OREGON LLC above service or feeder fee, 742 2
each branch circuit
Contact name: Frank Sandoval B.Fee for branch circuits without
Address: service or feeder fee,first
15455 NW Greenbrier Parkway#240 branch circuit 56.18 2
City/State/ZIP: Beaverton OR 97006 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)310-7571 Fax::( ) Each manufactured or modular 67.84 2
Email: dwelling,service and/or feeder
Fsandoval@newhomeco.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Development Northwest Inc., D8A Wolcott Electrical Sign or outline lighting 67.84 2
Address:1075 W Historic Columbia River Hwypineaall teraio)orlixiensienergy D �Page2 2
panel,alteration,or extension.
City/State/ZIP:Troutdale, OR, 97060 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)853-9420 Fax:( ) Investigation(I hr min) 90.00/hr
Email:MWOLCOTT@WOLCOTT.PRO Industrial plant(lhrmin) 78.18/hr
CCB Lic.:112220 Electrical Lic.:C1272 Suprv.Lie,:5782S Inspections for which no fee is
specifically listed(Ya hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv,Electrician signature,required:' Subtotal:
Print name:David Campbell Date:10/12/2023 0 Plan Review Required(25%of permit fee):
/n� State surcharge(12%of permit fee):
Authorized signature: ' TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within I80
Print name:Malachi J. Wolcott Date:10/12/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I1BuildinglPernetslELC_PermitApp_ELR ERE.doc Rev 06/172015 440-4615T(11/05/COMiWEB
•
Plumbing Permit Application
BuildingFixtures - ` "`"",_
# H. Oi l,l(_t.: isi' OVL}
City of Ti aTd Received +►�A �n 005S�
g e Permit No.:111,'`lit) S
mi 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
' ll
Phone: 503.718.2439 Fez: 503.598. i I 1 8 2023 Date/By: Other Permit No.:
i 1_`!L I Inspection Line: 503.639.4175 Date Ready/By: Jude: Er See Page 2 for
Internet: www.tigard-or.gov CITY O
r GARD Notified/Method: Supplemental Information
TYPE Cr DING DIVISION ' SEE* SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qty, I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft,for each utility connection)
CATEGORY or CONSTRUCTION SFR(1)bath 312.70
[2] 1-and 2-family dwelling CICommercial/industrial SFR(2)bath 1 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16681 SW Jean Louise rd Catch basin or area drain 18.76
City/State/ZIP: Sherwood/OR/97140 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg,/apt.no.: I Project name: RTTC Manufactured home utilities 50,03
Cross street/directions to job site: SW River Terrace blvd Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: River Terrace Town Center ( Lot no.: 128 Fixture or item:
Tax map/parcel no.: 2s 1060003300 Backflow preventer 31.27
DESCUIPTIQN OF WORK Backwater valve 12.51
New Home Construction Clothes,vasher 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
ea PROPERTY OAR f 0 TENANT Expansion tank 12.51
Name: TNHC OREGON LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 15231 Laguna Canyon Rd STE 250 Garbage disposal 25.02
City/State/ZIP: Irvine CA 92618 Hose bib 25.02
Phone:(503)310-7571 Fax:( ) Ice maker 12.51
'In APPLICANT' f d CONTACT' PERSON Interceptor/grease trap 25.02
Business name: THNC OREGON LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: Frank Sandoval
Roof drain(commercial) 12.51
•
Address: 15455 NW Greenbrier Parkway#240 Sink/basin/lavatory 25.02
City/State/ZIP: Beaverton OR 97006 Solar units(potable water) 62.54
Phone:(503)310-7571 Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:Wolcott Plumbing Water piping/DWV 56.29
Address:1075 West Historic Columbia River Hwy Other: 25.02
City/State/ZIP;Troutdale OR. 97060 Subtotal
Phone:( 503-667-1781 Fax:( ) Minimum permit fee: $72.50
26824 PB Plan review(25%of permit fee)
CCB Lie.:112220 F PlumbingLie.no.:
State surcharge(12%of permit fee)
Authorized signature:4 J` 0� TOTAL PERMIT FEE
Print name:Mark Baleme ���C11r"-" Date:10/12/2023 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board. {
t\Brntding\ermitsWLMU-PermilApp.doc 10/01/09 440.4616T(Io/02/COMAvEB)
ttr5
111 si Building Division
One & Two-Family Dwelling C.:" cs
T 1 G A R D Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION -3-0 l 7�2.3
Permit#: r� `6 .2 � E-- 0C-)S S Li Plan#: t Floors:
Valuation: Covered Porch: Basement
Bedrooms: Deck: --7 v 1"Floor (3
WC (toilets) .2 Deck Cover: ,—_ 2nd Floor 5546
Lavatories 3 Patio Cover 3rd Floor S(.Ob
Tub/shower Accessory Struct. --- R-3 Total 1 t 9 Q
Laundry Tray _� Water Heater t / Gas le Garage `t C1 7
Exhaust Vents 3 Gas Flue Vents �. Total for Elec. 1,6?U-7
Backflow Prey. 400 / Heat Pump all # for Electricala.
BBQ .- Gas Fireplace #Fuel Lines //
FEES: Description: Fee App ' s: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17)
Info Proc/Arch: Sm$.50 (up to 11x17)
><-
Metro CET: Residential Use
School CET: District: l ti/
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH ,f
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge tV
Mech. Permit: Permit Fee: V.
12% State Surcharge
Plumbing Permit: Permit Fee: IV
12% State Surcharge
Erosion Control: w/Permit-Ping
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
IN
. ' COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: MSTZOL3"OOSS 4
Site Address: 16681 SW Jean Louise Rd ®Verified in Accela
Project Name: River Terrace Town Center Lot/Unit #: Building 5 - Lot 128
Proposal: New Rowhouse Zone: C-C
Housing Type: ❑SFR(0 Single Detached ❑ Duplex❑Triplex❑ADU)® Rowhouse❑Cottage Cluster❑ CYU ❑Quad 0 Other
Required Site Plan Elements:
CF1 3 copies of site plan on max 11x17"
ft4 Drawn to standard scale ❑ Retained trees, drip linc/ tree protection
® North arrow fffi Street and site trees shown / labeled
X Site address, project name, lot # ❑Table calculating trcc canopy at maturity
I:g Street names (N/A for SFR)
fffi Applicant name and phone # 0 Courtyard rectangle dimcn3ioncd (if applicable)
X Lot and setback dimensions 21 Vision clearance triangle
❑ Cxisting structures &square footage X Utility locations &easements
X Footprint of new structure and FFE X Property corner elevations
I Sidewalk/driveway dimensioned ❑ LIDA (>1,000 sf disturbance)
X Lot area and lot coverage percentage X Erosion control
Required Elevation Plan Elements:
(For SFR: caics needed only on street-facing) Summary table with calculations for:
X Drawn to standard scale ®Total facade area
® Building height dimensioned X Total window and door area
X Fagade dimensioned
X Windows and doors dimensioned
X Garage doors dimensioned
Required Floor Plan Elements:
(Not required for SFR) 21 Summary table that includes
® Each story dimensioned N Total floor area
1 l Each story floor area calculated ® Floor area per story
Planning Review
The following standards have been met:
Setbacks Front:12' Rear: 0'or 20'if Side: 3' Min/Max Street Side: 8' / 20 Garage:3 or 20'if
g/ 8' Porch driveway parking provided anveway parking
Height l Max. Height: 45. Proposed Height: 34'-0 7/8" provided
N Yes 0 N/A Landscape
❑ Yes ® N/A Screening (Quad only)
® Yes 0 N/A % Window Coverage
® Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
M Yes ❑ N/A Entrance (SFR, Rowhouse, Quad only)
IR Yes ❑ N/A Other building design standards (Rowhouse only)
❑ Yes ® N/A Accessory Structure Standards
❑ Yes x❑ No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
I Yes ❑ N/A Unit Count: 4
X Yes ❑ N/A Lot Width and Size
0 Yes ❑ N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes N/A Unit Area:
❑ Yes N/A Floor Area (per story)
❑ Yes N/A Courtyard
❑ Yes N/A Fence
❑ Yes ❑ No ®N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
0 Yes ❑ No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes 0 No, stop intake
El Sensitive Lands: 0 Yes ® No PDR2021-00004
❑ Main Land Use Case #s: ❑ Conditions met
o Applicant notified of land use expiration : Submit development plans by 1/31/25.Final Occupancy by 1/31/27
Approved By Planning: 5 S Date: 9/26/23 l o/n P/a.3
Notes
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: k.o IS 11-s
Site Plans #: S
Building Plans #:
Building Permit #: V(Building permit # entered on page 1
Workflow Routing: 4 Planning engineering "Er-Permit Coordinator . building
Workflow Sign-off: V'Sign-off for Planning (include notes from planning review)
Route Documents: C'Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
IV'Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: 7k --
Date: t'D'A9 11-3
Notes:
Engineering Review
❑ PFI Permit:
Slope at building pad: af'
conditions met prior to issuance of permit
E Casements (encroachments) per engineering conditions of approval and plat
/ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes £No
Assess Water Quantity Fee in-lieu: 0 Yes LZYNo
LIDA Facility on lot: 0 Yes 1 o Add Fee: 0 Yes 0 No
Ikinal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: �-****°-° Date: /9/.saKe_n
Revision 1: 0 Approved of Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
,Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
ENG Revisions Required:!kirSDC Exemption: 0 Applied for ❑ Received oes Dnoatt ea PnPoI
Ytified applicant:
7SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: Yes 0 N/A VI Deferred
Parks SDC: Yes ❑ N/A Deferred
LIDA ❑ Yes ---rfN/A 1 �i
�K to Issue/Approved by Permit Coordinator: Date: \` `'
Revision 1: 0 Approved 0 Not Approved 3
Date:
Revision 2: 0 Approved 0 Not Approved Date: